本文报告了在美国首次确诊的一例异尖线虫病。患者是居住在美国夏威夷的一名34岁日本妇女。1984年8月8日主诉一周前开始偶发上腹部疼痛,通常在清晨感到明显,疼痛有时伴恶心,无呕吐、腹胀,大便正常。患者有食生鱼史(如鲑鱼、金枪鱼、鲍鱼等)。8月5日下午6时晚餐吃过生鲑鱼,次日清晨5时被一阵剧痛所惊醒,吃鲑鱼前48小时内未吃过其他新鲜生鱼。8月9日验血结果:嗜酸粒细胞5％,淋巴细胞26％,单核细胞5％,白细胞总数6100,其他实验室 This article reports the first case of Anisakis in the United States. The patient is a 34-year-old Japanese woman living in Hawaii, USA. August 8, 1984 Complaint occurred a week ago, occasional upper abdominal pain, usually in the early morning felt pain, sometimes with nausea, vomiting, bloating, stool normal. Patients with raw fish history (such as salmon, tuna, abalone, etc.). The salmon was eaten at 6pm on August 5 and was aroused by a sharp pain at 5 am the next morning before eating salmon eaten fresh raw fish for another 48 hours. August 9 blood test results: 5% of eosinophils, lymphocytes 26%, monocytes 5%, the total number of leukocytes 6100, other laboratories